Provider Demographics
NPI:1700261138
Name:RICHTER, MICHELE
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:RICHTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1197 ALLEN AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENWALD
Mailing Address - State:OH
Mailing Address - Zip Code:45015-2041
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1197 ALLEN AVE
Practice Address - Street 2:
Practice Address - City:LINDENWALD
Practice Address - State:OH
Practice Address - Zip Code:45015-2041
Practice Address - Country:US
Practice Address - Phone:513-728-9279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No1744G0900XOther Service ProvidersSpecialistGraphics Designer